Pediatrics CME

Individual subscribers to JAMA Pediatrics and AMA members may participate in JAMA Pediatrics CME.

You will find a wide selection of Pediatrics topics.

Target Audience: Pediatricians

CME activities of special interest to pediatricians.

Medscape contains a variety of educational formats:

CONFERENCE COVERAGE – Reports of advances presented at major medical conferences; typically includes several tracks with news stories, expert interviews, and in-depth topic overviews.

CLINICAL UPDATE – Comprehensive original review article on scientific advances in a clinical topic.

FAST TRACK CLINICAL UPDATE – Narrowly focused original review article on scientific advances in a clinical topic.

CME-LIVE – Real-time online events with streaming video, synchronized visuals, and interactive questions and answers; archived for 1 year.

CLINICAL BRIEFS – Daily reports of major current medical research articles; 0.25 credits each

JOURNAL CME – Articles selected from a wide selection of peer-reviewed journals.
SPECIAL REPORT CME – Topic-based monthly email newsletter distributed to Medscape’s professional member database by specialty.

INTERACTIVE PATIENT CASES – Original CME activity presented to the physician in an interactive, clinical case-based format.

CME CIRCLE – Multimedia content certified by other accredited professional education providers, typically from live symposia or monographs, and then posted on Medscape and archived for one year.

Target Audience: Pediatricians

These lectures are intended for neonatologists.

Top lectures include:
• Benefits and Challenges of the Use of Human Milk for Premature Infants
• Etiology of Preterm Labor
• Evidence-Based Medicine: Interpretation of Recent Clinical Trials in Neonatology: Should We Change Practice?
• Newborn Implications of Immune Modulation in the Fetus

After the lecture, submit answers to a 10-question exam to earn your CME credit.

These areas are covered:
Goal Directed Therapy ,Early Goal Directed Therapy, Hemodynamic Monitoring, Glucose Monitoring / Diabetes and Critical Care Pharmacology.

Some recent titles are:
• Making the Case for Glycemic Control: Is it a Matter of Tightness or Timing?
• Advanced Hemodynamic Monitoring
• Cardiac Output Monitoring vs. TEE/TTEGoal-Directed Therapy in the Operating Room
• Physiologic Optimization Program: Physiology Based Fluid Management
• Extravascular Lung Water: Clinical Implications
• Critical Care Pharmacotherapy Literature Updates
• Severe Sepsis: Early Recognition & Management Saves Lives
• The Use of Dynamic Parameters in Perioperative Fluid Management
• Current Trends in Management of Blood Glucose in Type 2 Diabetes Mellitus

Target Audience: Physicians focusing on Anesthesiology, Critical Care, ER, Hospital Medicine, and Pediatrics (ICU).

Almost every week, a lecture is videotaped and uploaded to the site within a few days.

Some examples include:
• Preparing for Disasters – The Role of the General Pediatrician
• Supporting Breastfeeding Dyads: the Pediatrician’s Role
• Seven Doctors Project: Creative Writing Workshops for Healthcare Workers
• Residency Now and Into the Future

Target Audience: Pediatricians

Examples of top articles include:
• Diagnosis and Management of Food Allergies
• Issues in Neonatology
• Child and Adolescent Mental Health
• Pediatric Nephrology
• Outlook on RSV: Emerging Science
• Adolescent Sexuality
• Cases in Pediatric Dermatology
• Infection Protection: New Insights and Ideas for Assessing and Treating Bacterial Conjunctivitis
• Outlook on RSV: Emerging Science
• Child Abuse Pediatrics

Target Audience: Pediatricians

You will find five areas presenting new CME on a monthly basis:

Cardiology Corner activities include a combined slide and audio presentation, as well as mp3, mp4, and a non-audio option.

Supplemental Reading/References provide links to abstracts.

Grand Rounds contains evidence-based topic presentations and discussions.

The Radiology Wing and Pathology Gallery presents a new picture or X-ray.

The Ultrasound Wing features case presentations with ultrasound images. Instruction is via a brief text or graphics case followed by online discussion among the users and then a brief multiple choice test.

Target Audience:
PED (Neonatology), Maternal and Fetal Medicine (Perinatology).

The major focus of this site is Global Health.

Examples of modules include:
• Module 1: Introduction to Health Care for Immigrant and Refugee Populations
• Module 2: Disaster Response and Clinical Medicine in Resource-Limited Settings
• Module 3: Public Health and Noninfectious Disease in Developing Countries
• Module 4: Parasitic Infections
• Module 5: Bacterial, Mycobacterial (TB), and Fungal Infections
• Module 6: Viral Infections
• Module 7: Travel Medicine

You will also find 2 courses unrelated to global health:
• Nitrous Oxide for Pediatric Procedural Sedation
• FASD: Early Identification and Intervention in the Primary Care Setting

Target Audience:
Physicians focusing on Family Medicine, Infectious Disease, Internal Medicine, Preventive Medicine, and Pediatrics.

Activity Description / Statement of Need:

In this online, self-learning activity:

The WHO defines vaccine hesitancy (VH) as a “delay in acceptance or refusal of vaccines despite the availability of vaccination services.” Despite substantial progress in rates of routine immunization over the decades prior to the most recent one, more recent trends suggest that immunization rates are beginning to plateau. Beyond VH and skepticism, there is also the embrace of outright vaccine rejection or denial fostered by the presence disinformation on conventional and social media platforms including claims that vacines are unsafe or unnecessary. Recent outbreaks of largely eradicated diseases such as measles, mumps, and diphtheria suggest that herd immunity may have suffered, putting those ineligible for vaccination at additional risk of infection. These developments have been attributed in part to VH and denial.

One large group with increasing VH is parents. A 2019 national survey found that approximately 1 in 4 parents reported serious concerns towards vaccinating their children. Another study saw that in up to 35% parents of well-vaccinated children demonstrate VH. Parents may raise issues that many providers feel ill-equipped to answer, due to lack of thorough knowledge of all vaccines or lack of evidence-based communication strategies. Unfortunately, only few evidence-based strategies exist to guide providers in their discussions with vaccine-hesitant parents.

Providers play a crucial role in vaccinating populations, but it is not and should not be their sole responsibility. Clinical practice sites, community organizations, health organizations, and government all contribute to addressing VH. Understanding potential solutions outside the office, such as media campaigns and policy changes, also provide insight into vaccine hesitancy and potential directions for future use.

Target Audience:

The following HCPs: Primary care physicians, pediatricians, and public health professionals; physician assistants, nurse practitioners, nurses, and pharmacists who practice in adult internal medicine and pediatrics; and any other clinicians who commonly encounter patients eligible for protection against vaccine-preventable diseases.

Activity Description / Statement of Need:

In this online, self-learning activity:

Hemophilia is a genetic disease caused by mutation of one of the genes for coagulation proteins leading to dangerous, uncontrolled bleeding. In hemophilia B, a mutation in the gene for factor IX (FIX) leads to an endogenous deficiency in the clotting factor. The incidence of hemophilia B is the same in all geographic regions, populations, and ethnic groups, affecting approximately 1 out of every 30,000 male births. The condition is diagnosed by measuring FIX activity, and patients with severe hemophilia have levels of 1% or less. Patients with severe hemophilia B are at risk for spontaneous, life-threatening bleeding episodes. Untreated, the life expectancy is approximately 20 years, and painful or even life-threatening morbidities include: intracranial hemorrhage, severe bleeding in other organ systems, musculoskeletal injury, and joint injury. In contrast, in people with moderate or mild hemophilia, abnormal bleeding usually occurs after minor trauma or surgery. Unfortunately, the literature shows that not only do clinicians struggle with the classification of hemophilia severity and that there are gaps in knowledge present that contribute to delayed diagnosis and treatment, with an attendant increase in morbidity and mortality. Challenges in diagnosis and classification are only the first of several gaps in care that patients with hemophilia face.

Target Audience:

The following HCPs: hematologists and pediatricians; physician assistants, nurse practitioners, and pharmacists who practice in hematology, and other HCPs who practice in hemophilia treatment center; and any other clinicians with an interest in or who clinically encounter patients with hemophilia B.